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RU2006120395A - ENDOSCOPIC STAPLING MACHINE - Google Patents

ENDOSCOPIC STAPLING MACHINE Download PDF

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Publication number
RU2006120395A
RU2006120395A RU2006120395/14A RU2006120395A RU2006120395A RU 2006120395 A RU2006120395 A RU 2006120395A RU 2006120395/14 A RU2006120395/14 A RU 2006120395/14A RU 2006120395 A RU2006120395 A RU 2006120395A RU 2006120395 A RU2006120395 A RU 2006120395A
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Prior art keywords
needle
endoscope
endoscopic apparatus
pin
shape
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RU2006120395/14A
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Russian (ru)
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RU2436530C2 (en
Inventor
Майкл Дж. СТОУКС (US)
Майкл Дж. СТОУКС
Марк С. ОРТИЗ (US)
Марк С. ОРТИЗ
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Этикон Эндо-Серджери, Инк. (Us)
Этикон Эндо-Серджери, Инк.
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/273—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the upper alimentary canal, e.g. oesophagoscopes, gastroscopes
    • A61B1/2736—Gastroscopes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00064—Constructional details of the endoscope body
    • A61B1/00071—Insertion part of the endoscope body
    • A61B1/0008—Insertion part of the endoscope body characterised by distal tip features
    • A61B1/00087—Tools
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00064—Constructional details of the endoscope body
    • A61B1/00071—Insertion part of the endoscope body
    • A61B1/0008—Insertion part of the endoscope body characterised by distal tip features
    • A61B1/00094—Suction openings
    • A—HUMAN NECESSITIES
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    • A61B1/00131—Accessories for endoscopes
    • A61B1/00133—Drive units for endoscopic tools inserted through or with the endoscope
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00131—Accessories for endoscopes
    • A61B1/0014—Fastening element for attaching accessories to the outside of an endoscope, e.g. clips, clamps or bands
    • A—HUMAN NECESSITIES
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    • A—HUMAN NECESSITIES
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    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A—HUMAN NECESSITIES
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    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • A—HUMAN NECESSITIES
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    • A61B17/0482—Needle or suture guides
    • A—HUMAN NECESSITIES
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    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06066—Needles, e.g. needle tip configurations
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    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
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    • A61B1/313—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes
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    • A61B17/0466—Suture bridges
    • A—HUMAN NECESSITIES
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    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0487—Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0493—Protective devices for suturing, i.e. for protecting the patient's organs or the operator
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/00296—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means mounted on an endoscope
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B2017/0496—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials for tensioning sutures
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06066—Needles, e.g. needle tip configurations
    • A61B2017/06076—Needles, e.g. needle tip configurations helically or spirally coiled
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06166—Sutures
    • A61B2017/06185—Sutures hollow or tubular
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03—Automatic limiting or abutting means, e.g. for safety
    • A61B2090/037—Automatic limiting or abutting means, e.g. for safety with a frangible part, e.g. by reduced diameter
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/026—Measuring blood flow
    • A—HUMAN NECESSITIES
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    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/026—Measuring blood flow
    • A61B5/0261—Measuring blood flow using optical means, e.g. infrared light

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  • Surgical Instruments (AREA)
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  • Formation And Processing Of Food Products (AREA)

Abstract

An endoscopic apparatus for the continuous application of a suture includes a suturing body that is shaped and dimensioned for attachment to the distal end of a commercially available endoscope in a manner permitting actuation thereof. The suturing body is composed of a suture housing in which a needle and drive assembly are housed for movement of the needle about a continuous circular path facilitating the application of a suture secured to a distal end of the needle. The drive assembly includes a rocker that moves along the suture housing under the control of a drive cable and a pin, wherein actuation of the drive cable and pin cause the rocker to selectively engage and disengage the needle causing the needle to move about a circular path in a continuous manner.

Claims (19)

1. Эндоскопический аппарат для непрерывного наложения шва, содержащий1. An endoscopic apparatus for continuous suturing, containing сшивающий корпус, форма и размер которого обеспечивают возможность его прикрепления к дистальному концу выпускаемого промышленностью эндоскопа таким образом, чтобы он мог действовать;a cross-linking case, the shape and size of which allows it to be attached to the distal end of an industry endoscope so that it can act; при этом сшивающий корпус состоит из шовного кожуха, в котором установлены игла и приводной узел для перемещения иглы по непрерывной круговой траектории, при этом обеспечивая возможность наложения шовной нити, прикрепленной к дистальному концу иглы;wherein the stitching body consists of a suture casing in which a needle and a drive unit are mounted for moving the needle along a continuous circular path, while allowing overlapping of the suture thread attached to the distal end of the needle; причем приводной узел включает в себя коромысло, которое перемещается вдоль шовного кожуха под управлением приводного троса и штифта; при этом действие приводного троса и штифта обусловливает избирательное зацепление и расцепление коромыслом иглы, в результате чего игла перемещается по круговой траектории непрерывно.moreover, the drive unit includes a beam that moves along the seam cover under the control of the drive cable and pin; in this case, the action of the drive cable and the pin determines the selective engagement and disengagement of the needle by the beam, as a result of which the needle moves along a circular path continuously. 2. Эндоскопический аппарат по п.1, отличающийся тем, что вакуумный кожух окружает сшивающий корпус, при этом форма и размер вакуумного кожуха обеспечивают возможность его подключения к вакуумной линии эндоскопа.2. The endoscopic apparatus according to claim 1, characterized in that the vacuum casing surrounds the stapling body, while the shape and size of the vacuum casing allow it to be connected to the vacuum line of the endoscope. 3. Эндоскопический аппарат по п.1, отличающийся тем, что игла является дугообразной.3. The endoscopic apparatus according to claim 1, characterized in that the needle is arched. 4. Эндоскопический аппарат по п.1, отличающийся тем, что игла имеет внутреннюю поверхность, наружную поверхность и зазубрину, сформированную вдоль наружной поверхности иглы; и коромысло имеет зазубрину, форма и размер которой обеспечивают возможность зацепления зазубрины вдоль наружной поверхности иглы во время ее действия.4. The endoscopic apparatus according to claim 1, characterized in that the needle has an inner surface, an outer surface and a notch formed along the outer surface of the needle; and the beam has a notch, the shape and size of which allows the notch to engage along the outer surface of the needle during its action. 5. Эндоскопический аппарат по п.1, отличающийся тем, что коромысло состоит из зацепляющего элемента и кулачкового элемента, действующего совместно со штифтом для регулирования положения зацепляющего элемента в целях избирательного зацепления с иглой.5. The endoscopic apparatus according to claim 1, characterized in that the beam consists of an engaging element and a cam element, acting in conjunction with a pin to adjust the position of the engaging element for selective engagement with the needle. 6. Эндоскопический аппарат по п.5, отличающийся тем, что кулачковый элемент имеет прорезь, в которой штифт перемещается и обусловливает перемещение зацепляющего элемента в зацепление с иглой и из него.6. The endoscopic apparatus according to claim 5, characterized in that the cam element has a slot in which the pin moves and causes the engagement element to move into and out of the needle. 7. Эндоскопический аппарат по п.5, отличающийся тем, что коромысло также содержит фрикционный диск, который содействует регулированию положения зацепляющего элемента.7. The endoscopic apparatus according to claim 5, characterized in that the beam also contains a friction disk, which helps to regulate the position of the engaging element. 8. Эндоскопический аппарат по п.5, отличающийся тем, что зацепляющий элемент является дугообразным и, по существу, соответствует форме иглы.8. The endoscopic apparatus according to claim 5, characterized in that the engaging element is arcuate and essentially corresponds to the shape of the needle. 9. Эндоскоп для непрерывного наложения шва, содержащий9. An endoscope for continuous suturing, containing корпус эндоскопа;endoscope body; сшивающий корпус, форма и размер которого обеспечивают возможность его прикрепления к дистальному концу корпуса эндоскопа таким образом, чтобы эндоскоп мог действовать;a cross-linking case, the shape and size of which allows it to be attached to the distal end of the endoscope body so that the endoscope can act; при этом сшивающий корпус состоит из шовного кожуха, в котором установлены игла и приводной узел для перемещения иглы по непрерывной круговой траектории, при этом обеспечивая возможность наложения шовной нити, прикрепленной к дальнему концу иглы;wherein the stitching case consists of a suture casing in which a needle and a drive unit are installed to move the needle along a continuous circular path, while providing the possibility of applying a suture thread attached to the far end of the needle; причем приводной узел включает в себя коромысло, которое перемещается вдоль шовного кожуха под управлением приводного троса и штифта;moreover, the drive unit includes a beam that moves along the seam cover under the control of the drive cable and pin; при этом действие приводного троса и штифта обусловливает избирательное зацепление и расцепление коромыслом иглы, в результате чего игла перемещается по круговой траектории непрерывно.in this case, the action of the drive cable and the pin causes selective engagement and disengagement of the needle by the beam, as a result of which the needle moves along a circular path continuously. 10. Эндоскоп по п.9, отличающийся тем, что вакуумный кожух окружает сшивающий корпус и выполнен с возможностью его подключения к вакуумной линии эндоскопа.10. The endoscope according to claim 9, characterized in that the vacuum casing surrounds the stapling body and is configured to connect to the vacuum line of the endoscope. 11. Эндоскоп по п.9, отличающийся тем, что игла является дугообразной.11. The endoscope according to claim 9, characterized in that the needle is arched. 12. Эндоскоп по п.9, отличающийся тем, что игла имеет внутреннюю поверхность и наружную поверхность и зазубрину, сформированную вдоль наружной поверхности иглы; и коромысло имеет зазубрину, форма и размер которой обеспечивают возможность зацепления зазубрины вдоль наружной поверхности иглы во время ее действия.12. The endoscope according to claim 9, characterized in that the needle has an inner surface and an outer surface and a notch formed along the outer surface of the needle; and the beam has a notch, the shape and size of which allows the notch to engage along the outer surface of the needle during its action. 13. Эндоскоп по п.9, отличающийся тем, что коромысло состоит из зацепляющего элемента и кулачкового элемента, действующего совместно со штифтом для регулирования положения зацепляющего элемента в целях избирательного зацепления с иглой.13. The endoscope according to claim 9, characterized in that the beam consists of an engaging element and a cam element, acting in conjunction with a pin to adjust the position of the engaging element in order to selectively engage with the needle. 14. Эндоскоп по п.13, отличающийся тем, что кулачковый элемент имеет прорезь, в которой штифт перемещается и обусловливает перемещение зацепляющего элемента в зацепление с иглой и из него.14. The endoscope according to item 13, wherein the cam element has a slot in which the pin moves and causes the engagement element to move into and out of the needle. 15. Эндоскоп по п.13, отличающийся тем, что коромысло также содержит фрикционный диск, который содействует регулированию положения зацепляющего элемента.15. The endoscope according to item 13, wherein the beam also contains a friction disk, which helps to regulate the position of the engaging element. 16. Эндоскоп по п.13, отличающийся тем, что зацепляющий элемент является дугообразным и, по существу, соответствует форме иглы.16. The endoscope according to item 13, wherein the engaging element is arcuate and essentially corresponds to the shape of the needle. 17. Эндоскопический аппарат для непрерывного наложения шва, содержащий17. An endoscopic apparatus for continuous suturing, comprising сшивающий корпус, форма и размер которого обеспечивают возможность его прикрепления к дистальному концу выпускаемого промышленностью эндоскопа таким образом, чтобы он мог действовать;a cross-linking case, the shape and size of which allows it to be attached to the distal end of an industry endoscope so that it can act; при этом сшивающий корпус состоит из шовного кожуха, в котором установлены игла и приводной узел для перемещения иглы по непрерывной круговой траектории, при этом обеспечивая возможность наложения шовной нити, прикрепленной к дистальному концу иглы;wherein the stitching body consists of a suture casing in which a needle and a drive unit are mounted for moving the needle along a continuous circular path, while allowing overlapping of the suture thread attached to the distal end of the needle; при этом приводной узел прилагает осевое движение, обусловливая перемещение иглы по непрерывной круговой траектории.while the drive unit applies axial motion, causing the needle to move along a continuous circular path. 18. Эндоскопический аппарат по п.17, отличающийся тем, что вакуумный кожух окружает сшивающий корпус, при этом форма и размер вакуумного кожуха обеспечивают возможность его соединения с вакуумной линией эндоскопа.18. The endoscopic apparatus according to claim 17, characterized in that the vacuum casing surrounds the stapling body, while the shape and size of the vacuum casing allows it to be connected to the vacuum line of the endoscope. 19. Эндоскопический аппарат по п.17, отличающийся тем, что игла является дугообразной.19. The endoscopic apparatus according to claim 17, characterized in that the needle is arched.
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JP5122090B2 (en) 2013-01-16
ATE420596T1 (en) 2009-01-15
CN1879566A (en) 2006-12-20
JP2006346458A (en) 2006-12-28
CN1879566B (en) 2010-07-14
SG128559A1 (en) 2007-01-30
RU2436530C2 (en) 2011-12-20
EP1733685B1 (en) 2009-01-14
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US20060282089A1 (en) 2006-12-14
US7615060B2 (en) 2009-11-10
HK1098318A1 (en) 2007-07-20
KR20060129968A (en) 2006-12-18
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AU2006202017B2 (en) 2012-05-24
BRPI0602285A (en) 2007-02-21

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